Individual
ISHANI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
377 NW JASPER ST, DALLAS, OR 97338-1279
(503) 623-5581
Mailing address
25764 SW CANYON CREEK RD APT B201, WILSONVILLE, OR 97070-5622
(909) 809-1504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62701
OR
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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